Quarterly Quality Report

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Anthony Strickland
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1 Quarterly Quality Report Calendar Year st Quarter (January-March ) Click here to read the previous quarterly report. Health & Rehab is a not-for-profit organization that operates three facilities in the metro Atlanta area providing a range of care including therapy and rehabilitation services, shortterm recovery and long-term care. Our staff of approximately serves a total resident capacity of more than. We know that high quality health care is critical to residents, families and others who look to as a trusted leader in senior care. This quarterly quality report highlights statistics for some of the most important factors considered when evaluating a skilled nursing or rehabilitation facility. These statistics reflect calendar year first quarter, January-March. They include comparisons among Health & Rehab s three facilities, more than 5 facilities in and more than 5, facilities nationwide. Health & Rehab snapshot Location Staff total as of Mar. Resident Capacity Total residents served Jan.-Mar. Percentage Occupied as of Mar. of Atlanta 8 8 % of Cobb % at Wesley Woods 5 97% Total % Health & Rehab Jan.-Mar. Quality Report

and long-term care. Our staff of approximately serves a total resident capacity of more than.

2 Unless otherwise noted, the following charts reflect January-March data from the American Health Care Association s Long-term Care Trend Tracker. Overall star ratings has the highest star quality ratings possible. All three of the homes have 5-star quality ratings, which is the highest possible rating. Our homes exceed the state average of. and nationwide average of.9 star quality ratings recorded for January-March. Nursing home ratings come from health inspections, staffing and quality measures. 5 Star Ratings Staff hours per patient day has high total staff hours per patient day, which allows staff to provide more personalized care. Staff hours per patient day is the total number of staff providing patient care compared to the number of patients. In the first quarter of, the average total staff hours per patient day at was 7.9. The statewide average was 5.9 and the nationwide average was Staff hours per patient day Health & Rehab Jan.-Mar. Quality Report

and nationwide average of.9 star quality ratings recorded for January-March. Nursing home ratings come from health inspections, staffing and quality measures.

3 Fall incidents takes significant measures to mitigate the risks associated with falling, and we have a lower fall incident rate than statewide and nationwide averages. A fall refers to unintentionally coming to a rest on the ground, floor or other lower level, but not as a result of an overwhelming external force. An episode where a resident loses his or her balance, and would have fallen if not for staff intervention, is considered a fall. While most falls are benign and result in no injuries, takes significant measures to mitigate the risks associated with falling. has a lower fall incident rate of. percent, as compared to the statewide and nationwide averages of 5. percent. *Of the fall incidents that occurred during the first quarter at, none resulted in falls with injury, which is the percentage of falls that result in hospitalization. 8 % of residents with incidents of falls *Falls with injury data is not calculated in the Long-term Care Trend Tracker and statewide and nationwide comparisons are not available. Antipsychotic medications has a significantly lower-than-average percentage of residents who take antipsychotic medications. has a low percentage,.7 percent, of residents who were on antipsychotic medications in the first quarter. This is compared to 5. percent statewide and. percent nationwide % of residents taking antipsychotic medications Health & Rehab Jan.-Mar. Quality Report

An episode where a resident loses his or her balance, and would have fallen if not for staff intervention, is considered a fall.

4 Acquired catheters Zero percent of residents at acquired urinary catheters in the first quarter, compared to.7 percent statewide and.89 percent nationwide % of residents with acquired urinary catheters Physical restraints takes many steps to reduce or eliminate the need for restraints, which contributes to its low percentage of residents who required restraints in the first quarter. Physical restraints are items used to restrict, restrain or prevent movement of a person. Restraints are used as a last resort and only after less restrictive alternatives have been tried. takes many steps to reduce or eliminate the need for restraints, which contributes to its low percentage,.7 percent, of residents who required restraints from January-March. This is compared to.89 percent statewide and.87 percent nationwide % of residents requiring physical restraints Health & Rehab Jan.-Mar. Quality Report

.. % of residents with acquired urinary catheters Physical restraints takes many steps to reduce or eliminate the need for restraints, which contributes to its low percentage of residents who

5 Unexpected weight gain or loss has a low percentage of residents with unexpected weight fluctuations. Weight can be a useful indicator of nutritional status when evaluated within the context of an individual s personal history and overall condition. We monitor residents weight to ensure significant, unintended changes are addressed immediately. had a low percentage of residents,. percent, with unexpected weight fluctuations in the first quarter. This is compared to. percent statewide and 5.95 percent nationwide. 7 5 % of residents with unexpected weight gain/loss Pressure ulcers A very low percentage of residents experience pressure ulcers. A pressure ulcer is any lesion caused by unrelieved pressure that results in damage to the underlying tissue. takes significant steps to prevent pressure ulcers, however in rare instances they are unavoidable. From January-March,. percent of residents experienced pressure ulcers, compared to.5 percent statewide and. percent nationwide % of residents with pressure ulcers Health & Rehab Jan.-Mar. Quality Report 5

We monitor residents weight to ensure significant, unintended changes are addressed immediately. had a low percentage of residents,. percent, with unexpected weight fluctuations in the first quarter.

6 -day rehospitalization rate A resident often gets referred to a nursing home after initially being admitted to a hospital for an illness or injury. The -day rehospitalization rate is a percentage of the number of individuals sent back to a hospital within days of admission to the nursing facility divided by the total number of admissions to the nursing facility from hospitals within the same -day timeframe. The Long-term Care Trend Tracker recently made data available to allow users to compare rehospitalization rates across the state and nation. The comparison data below reflects the average -day rehospitalization rate for the most recent timeframe available in Long-term Care Trend tracker, October -September. During this time, average -day rehospitalization rate was 9. percent compared to a statewide average of.8 percent and a nationwide average of 7.8 percent. -day rehospitalization rates compare similarly to statewide and nationwide averages, but each home strives to reduce readmissions to hospitals because they are disruptive and costly to both the patient and provider. *Although -day rehospitalization rates are not available for statewide and nationwide comparisons for the January-March quarter, average -day rehospitalization rate during this timeframe was 9. percent day rehospitalization rate (Oct. -Sept. ) *-day rehospitalization rates for January-March were not calculated in the Long-term Care Trend Tracker and statewide and nationwide comparisons are not available. Health & Rehab Jan.-Mar. Quality Report

nursing facility from hospitals within the same -day timeframe.

Quarterly Quality Report

Quarterly Quality Report Calendar Year th Quarter (October-December ) Click here to read the previous quarterly report. Health & Rehab is a not-for-profit organization that operates three facilities in